Individual provider Active NPI

Fernando Sebastian Mora-McLaughlin, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1942381405
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212244 Issued in NY
Practice address
1225 Gerard Ave
Bronx, NY 10452-8001
Phone
(718) 960-2800
Fax
(718) 960-7037
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 212244 NY Primary

Addresses

Primary practice location

1225 Gerard Ave
Bronx, NY 10452-8001

Mailing address

1225 Gerard Ave
Bronx, NY 10452-8001
Phone (914) 457-4559

Other identifiers 1

IdentifierTypeStateIssuer
02211434MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602001284 NY Practitioner - Internal Medicine 4880676949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1225 Gerard Ave
Bronx, NY 10452-8015
Phone (718) 960-2780

20 W 190TH St
Bronx, NY 10468-4356
Phone (718) 993-5093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
212244NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FM McLaughlin Medical PLLC CurrentSince Jun 15, 2014 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Feb 1, 2021 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients

Locations

20 W 190th St
Bronx, NY 10468
Phone (718) 993-5093

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777

50 Water St
Fl 3
New York, NY 10004

227 Madison St
New York, NY 10002
Phone (212) 238-7000

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: fmora108239@nychhc.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1942381405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 GERARD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528001",
            "telephone_number": "914-457-4559",
            "fax_number": "718-960-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 GERARD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528001",
            "telephone_number": "718-960-2800",
            "fax_number": "718-960-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA-MCLAUGHLIN",
        "first_name": "FERNANDO",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02211434",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.